OrganizationActive
Pine Knob Pharmacy 4 Inc
NPI 1255449625 · Community/Retail Pharmacy · Clarkston, MI
Pine Knob Pharmacy 4 Inc is a Community/Retail Pharmacy organization in Clarkston, MI (NPI 1255449625).
Provider details
- NPI number
- 1255449625
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Stephen Graham, Manager Pharmacy Services(248) 348-1570
- License
- 5301006722 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5710 Bella Rosa Blvd
Clarkston, MI 48348-4773
Phone: (248) 620-0296
Fax: (248) 674-7436
Street-level locationGet directions
Mailing address
43155 W 9 Mile Rd
Novi, MI 48375-4190
Other names (DBA / former)
- Doing business as
- Pine Knob Savmor Pharmacy 4
Registry dates
- Enumerated
- 2006-08-27
- Last updated
- 2008-04-15
Frequently asked questions
- What is Pine Knob Pharmacy 4 Inc's NPI number?
- Pine Knob Pharmacy 4 Inc's National Provider Identifier (NPI) is 1255449625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Knob Pharmacy 4 Inc?
- Pine Knob Pharmacy 4 Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pine Knob Pharmacy 4 Inc located?
- Pine Knob Pharmacy 4 Inc's practice location on file with NPPES is 5710 Bella Rosa Blvd, Clarkston, MI 48348-4773.
- What is Pine Knob Pharmacy 4 Inc's phone number?
- The practice phone number listed in the NPPES registry for Pine Knob Pharmacy 4 Inc is (248) 620-0296.
- Who is the authorized official for Pine Knob Pharmacy 4 Inc?
- The authorized official listed on Pine Knob Pharmacy 4 Inc's NPPES record is Stephen Graham, Manager Pharmacy Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Knob Pharmacy 4 Inc's NPI active?
- Yes — Pine Knob Pharmacy 4 Inc's NPI (1255449625) is active in the NPPES registry as of the last update on 2008-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.